Intermediate Accident Benefits Advisor

Aviva plc; Markham; Hybrid; CAD 60,000 - 75,000; Full time

Benefits offered by this job

Hybrid flexible work model

Health benefits

Job summary

Aviva Canada is seeking Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of Accident Benefits claims. We are looking for customer-focused individuals who want to take the next step in their careers and join a team dedicated to care and commitment.

You will interpret insurance contracts, handle Accident Benefits claims within your authority, and educate customers and providers on auto reform changes.

Qualifications

• 2+ years of Accident Benefits insurance claims handling experience required.
• Large Loss experience preferred.
• CIP licensing required or in progress.

Responsibilities

• Interpret insurance contracts and resolve policy coverages.
• Handle Accident Benefits claims per authority and expertise.
• Acquire investigative reports and statements as needed.
• Educate customers and providers on auto reform changes.
• Ensure all aspects of the claim process meet guidelines.
• Assist in resolving claims issues related to legislation and settlements.
• Ensure service levels and quality standards by approved specialists.
• Educate insureds about the Premiere Healthcare network.
• Participate in training and file clinic sessions.

Skills

Customer service

Communication

Organization

Adaptability

Software literacy

Education

College/Associate degree or equivalent

Post-secondary education in related field

CIP or pursuing CIP

Tools

Insurance claim systems

Databases

Job description

Experience Aviva

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values - Care, Commitment, Community, and Confidence.

The Opportunity

We’re looking for Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of sophisticated Accident Benefit claims. Are you a customer focused individual looking to take the next step in their career? Come join our team!

What you’ll do

• Interpret insurance contracts, resolve policy coverages, establish and adjust reserves in accordance with corporate guidelines
• To appropriately handle Accident Benefits claims according to individual authority, knowledge and expertise
• Acquire investigative reports, independent medical examination where appropriate, statements from insured's/witnesses and other specialists as required
• Educate customers and providers of any new auto reform changes
• Ensure all aspects of the claim process are handled optimally and within company guidelines
• Assist in resolving claims issues with respect to interpretations, as they relate to the legislation and settlement negotiations
• Ensure service levels and quality standards are met by approved specialists
• Educate our insureds about Premiere Healthcare network
• Attend and actively participate in training and file clinic sessions

What you’ll bring

• College Diploma/ Associate Degree or similar experience
• 2+ years of Accident Benefits insurance claims handling experience is required
• Large Loss experience is preferred
• Post-secondary Education (College Diploma or Bachelor Degree) in related field.
• CIP or working towards CIP is required for licensing
• Excellent customer services skills
• Excellent communication skills
• Ability to learn and adapt to a fast paced environment
• Good organization skills
• Ability to adapt and work within various computer programs, databases and software

What you’ll get

• The salary band for this position ranges from $60,000 - $75,000. Please note that individual salary is determined by factors such as job-related knowledge, skills and experience, as well as internal equity
• Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities
• Outstanding Career Development opportunities
• We’ll support your professional development education
• Competitive vacation package with the option to purchase 5 extra days off per year
• Employee driven programs focused on gender, LGBTQ+, origins, diversity and inclusion
• Corporate wellness programs to support our employees’ physical and mental health
• Hybrid flexible work model

Aviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position.

Aviva Canada welcomes applications from all qualified individuals and has a process in place to provide accommodations for persons with disabilities at all stages of the hiring process and during employment.

We help our 19.5 million customers to save for the future and manage the risks of everyday life. To give these customers the best possible products and service we know we must make Aviva the most attractive choice for talented, entrepreneurial people with diverse backgrounds and an evolving range of expertise and insight. So, we’re passionate about helping our 23,000 people to do the best work of their lives, to enable them to make a positive difference to the lives of our customers.